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QUOTE FORM <br />CITY OF RAMSEY <br />ASBESTOS ABATEMENT AND <br />REGULATED WASTE REMOVAL <br />TO: City of Ramsey <br />c/o Shane Nelson, Hakanson Anderson <br />3601 Thurston Avenue <br />Anoka, MN 55303 <br />(763) 852-0479 <br />DATE: <br />The undersigned hereby declares that it has carefully examined the location of the proposed <br />Asbestos Abatement and Hazardous Waste Removal, the Request for Quotes dated April 27, 2016 <br />and that it proposes and agrees, if this Quote is accepted, in whole or in part, with the City of <br />Ramsey to perform the Services and that it will accept as payment in full for said Services or <br />portion of the Services the amount set forth below (the "Contract Price"). <br />The undersigned further agrees that, within fifteen (15) days from the date of the City's <br />consideration of said Quotes that it will execute a Service Agreement and furnish the required <br />Certificates of Insurance if the City accepts its Quote. <br />The undersigned hereby further declares that the only persons or parties interested in this Quote as <br />principals are named below; that the Quote is made without any connection with any other person <br />or party making any proposal for the same work; and that no person acting for or employed by the <br />City is directly or indirectly interested in this Quote or in any Agreement which may be awarded <br />under it or in profits expected to arise therefrom. <br />TOTAL QUOTATION (LUMP SUM) $ <br />(Name of Contractor) <br />(Legal Address) <br />Page 1 of 2 <br />